A93

VILLA HAVEN HEALTH AND REHABILITATION CENTER

Grade A 93/100 composite score

Government - Hospital district

CMS Star Ratings

Overall
5/5
Health Insp.
5/5
Quality
5/5
Staffing
4/5
RN Staffing
Not rated

Certified Beds

92

Ownership

Government - Hospital district

Total Fines

None

Last Survey

N/A

300 S JACKSON ST, BRECKENRIDGE, TX 76424
2545593386

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.53h
LPN
1.43h
CNA
2.42h
Total
4.38h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

CHILDRESS COUNTY HOSPITAL DISTRICT

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Apr 2017

100%

CHILDRESS COUNTY HOSPITAL DISTRICT

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Apr 2017

VILLA HAVEN HEALTH CARE LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Apr 2017

HOLCOMB, HOLLY

IndividualCORPORATE OFFICERSince May 2021

STRATTON, EMILEE

IndividualCORPORATE OFFICERSince Mar 2018

HOLCOMB, HOLLY

IndividualW-2 MANAGING EMPLOYEESince Apr 1996

SMITH, KASHA

IndividualW-2 MANAGING EMPLOYEESince Jul 2020

STRATTON, EMILEE

IndividualW-2 MANAGING EMPLOYEESince May 2014

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (8)

December 19, 2024Health2 deficiencies
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Dec 23, 2024
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jan 9, 2025
July 18, 2024Health1 deficiency
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Aug 6, 2024
November 2, 2023Health3 deficiencies
0656EMinimal harm, Pattern

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Nov 20, 2023
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Nov 21, 2023
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Nov 20, 2023
September 8, 2022Health2 deficiencies
0655BNo harm, Pattern

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Resident Assessment and Care Planning Deficiencies

Corrected Sep 23, 2022
0803EMinimal harm, Pattern

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Nutrition and Dietary Deficiencies

Corrected Sep 23, 2022

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Frequently Asked Questions

What is the CareGrader rating for VILLA HAVEN HEALTH AND REHABILITATION CENTER?

VILLA HAVEN HEALTH AND REHABILITATION CENTER in BRECKENRIDGE, Texas has a CareGrader grade of A (Excellent), with a composite score of 93.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for VILLA HAVEN HEALTH AND REHABILITATION CENTER?

VILLA HAVEN HEALTH AND REHABILITATION CENTER has an overall CMS star rating of 5 out of 5, a health inspection rating of 5/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does VILLA HAVEN HEALTH AND REHABILITATION CENTER have?

VILLA HAVEN HEALTH AND REHABILITATION CENTER has 8 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does VILLA HAVEN HEALTH AND REHABILITATION CENTER have?

VILLA HAVEN HEALTH AND REHABILITATION CENTER has 92 certified beds with approximately 30 current residents (33% occupancy). The facility is located at 300 S JACKSON ST, BRECKENRIDGE, Texas 76424. It is a government - hospital district facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.